Thoracoscopic-assisted diaphragmatic hernia repair using a thoracic rib resection

Erin D. Malone, Kelly Farnsworth, Tiffany Lennox, Julia Tomlinson, Abby M. Sage

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Objective - To describe the surgical treatment of a dorsal diaphragmatic hernia in an adult horse using thoracic rib resection aided by thoracoscopy and a flank incision. Study Design - Case report. Animal Population - One client-owned horse. Results - A six-year-old Dutch warmblood gelding was admitted for colic-associated colonic incarceration in a diaphragmatic hernia. Seven weeks after the initial colic surgery, the gelding underwent surgery to repair the defect. Thoracoscopy and a flank incision were used to identify the location of the hernia and the subsequent site of rib resection. The stomach was adhered to the edges of the defect, leaving only a small residual hole. Resection of the 14th rib provided excellent exposure of the defect and closure of the remaining hernia. Conclusion and Clinical Relevance - Thoracic rib resection can provide access to diaphragmatic hernias in adult horses. Thoracoscopy or a flank incision, or both, may aid in determining which rib is best resected.

Original languageEnglish (US)
Pages (from-to)175-178
Number of pages4
JournalVeterinary Surgery
Volume30
Issue number2
DOIs
StatePublished - Mar 2001

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